| Application of the Hem-o-lok ligation system in laparoscopic nephrectomy. | |
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MedLine Citation:
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PMID: 20033713 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The Hem-o-lok polymer clip has become the preferred method to control large vessels during operation. We explored the advantages of application of the Hem-o-lok ligation system in laparoscopic nephrectomy. METHODS: From January 2004 to May 2009, 116 laparoscopic nephrectomies were performed using Hem-o-lok clips to control renal artery and vein, including 22 simple nephrectomies, 63 radical nephrectomies, and 31 nephroureterectomies. Operative time, estimated intraoperative blood loss, recovery time of intestinal function, postoperative hospital day, as well as complication rate were recorded and studied retrospectively. The number and cost of Hem-o-lok clips were analyzed. RESULTS: All 116 laparoscopic nephrectomies using Hem-o-lok clips for renal pedicle control were accomplished successfully without conversion to open surgery. No intra/postoperative vascular complications or other clip-related complications occurred. Laparoscopic operating time was 14-275 min (average 146.5 min). Estimated blood loss was 25-600 ml (average 159.2 ml). Mean recovery time of intestinal function was 30.4 h (range 16-72 h). Postoperative hospital stay was 4-22 days, with an average of 7.3 days. The mean number of Hem-o-lok clip used per operation was 5.3 (range 4-8). CONCLUSIONS: Use of the Hem-o-lok ligation system to control renal pedicle is safe and reliable for laparoscopic simple/radical nephrectomy. |
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Authors:
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Hao Ping; Nian-Zeng Xing; Jun-Hui Zhang; Yong Yan; Ning Kang; Yi-Nong Niu |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-12-24 |
Journal Detail:
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Title: Surgical endoscopy Volume: 24 ISSN: 1432-2218 ISO Abbreviation: Surg Endosc Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-14 Completed Date: 2010-10-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8806653 Medline TA: Surg Endosc Country: Germany |
Other Details:
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Languages: eng Pagination: 1494-7 Citation Subset: IM |
Affiliation:
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Department of Urology, Beijing Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, People's Republic of China. pinghaozx@yahoo.com.cn |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Blood Loss, Surgical / prevention & control* Equipment Design Female Follow-Up Studies Hemostasis, Surgical / instrumentation* Humans Kidney Diseases / surgery* Laparoscopy / methods* Ligation / instrumentation Male Nephrectomy / methods* Renal Artery Renal Veins Retrospective Studies Sutures* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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